Opportunity Information: Apply for HHS 2010 CMS CHIPRA 0002
Apply for HHS 2010 CMS CHIPRA 0002
- The Centers for Medicare Medicaid Services in the health sector is offering a public funding opportunity titled "Children s Health Insurance Program Reauthorization Act (CHIPRA) Quality Demonstration Grant Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.767 Childrens Health Insurance Program.
- This funding opportunity was created on Jan 5, 2010 and posted on Sep 30, 2009.
- Applicants must submit their applications by Jan 8, 2010. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $100,000,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $5,000,000.00 in funding.
- The number of recipients for this funding is limited to 10 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligible applicants for this funding opportunity are limited to the State Medicaid Agency or the State CHIP Agency, or a multi State collaborative of State Medicaid / CHIP agencies. The State Medicaid Agency or the State CHIP Agency must partner with state or national external associations or organizations and others such as other state agencies, child health providers, private foundations, and/or academic institutions. It is recommended that at least one entity in the partnership must have existing experience with data collection and assessment. In order to ensure the involvement of key State partners, it is required that the State s Governor oversee the implementation of the grant. This is necessary to ensure that other State agencies or instrumentalities of the States are included in the planning and implementation of the various grant activities. A letter of support from the State Governor and State Medicaid or CHIP Director (if one is not a partner to the grant) is required. Additional letters of endorsement from the major partners that are not the lead agency are encouraged, such as child health providers. Only one grant application can be submitted for a given State. Multi State collaboratives are encouraged and weighted favorably in the scoring criteria however, multi state applicants must assign a single State as the lead for the implementation of the grant. If a multi State demonstration project is proposed, the State Governor and Medicaid Agency Director from each participating State must indicate their approval via a signed letter of support.
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Opportunity Summary:
The Children s Health Insurance Program Reauthorization Act (CHIPRA) Quality Demonstration Grant Program is a discretionary grant opportunity run by the Centers for Medicare and Medicaid Services (CMS) designed to build and test a national quality system for children s health care across both Medicaid and the Children s Health Insurance Program (CHIP). The central purpose is not simply to fund services, but to help states and their partners experiment with and evaluate practical approaches that can reliably measure, improve, and track the quality of pediatric care, while also exploring ways to lower costs through better care delivery and smarter use of information.
Funding for the program comes from CHIPRA (the 2009 reauthorization), which set aside a total of 100 million dollars for the demonstrations. CMS planned to distribute this funding over a five year period of performance, with about 20 million dollars available each federal fiscal year. The program anticipated making 10 total awards. Individual awards were expected to fall between 500,000 dollars (award floor) and 5,000,000 dollars (award ceiling). A notable feature is that there is no state match requirement, which reduces the financial barrier to participation, and any unspent funds are allowed to roll over into the next fiscal year, giving states more flexibility in pacing multi year work.
The demonstrations are aimed at testing several related strategies for improving children s health care quality. First, projects are expected to experiment with and evaluate both new and existing quality measures for children enrolled in Medicaid and CHIP, meaning states would collect, validate, and use standardized metrics to understand performance and outcomes. Second, the program promotes the use of health information technology (HIT) to strengthen care delivery for enrolled children, which can include better electronic data exchange, decision support, and tools that improve how providers coordinate care. Third, the grants support evaluation of provider based models intended to improve how pediatric services are delivered under Medicaid and CHIP, such as structured quality improvement models, practice transformation, or other care redesign efforts that can be assessed for impact. Finally, the program calls for demonstrating the impact of a model electronic health record (EHR) format for children, with attention to whether pediatric focused EHR capabilities can measurably improve pediatric health outcomes, raise the quality of care, and reduce overall health care costs.
Eligibility is limited to governmental applicants at the state level: the State Medicaid Agency, the State CHIP Agency, or a multi state collaborative made up of state Medicaid and or CHIP agencies. The structure is intentionally partnership driven. The lead state agency must partner with external associations or organizations and may also involve other state agencies, child health providers, private foundations, and academic institutions. CMS recommended that at least one partner already have hands on experience with data collection and assessment, reflecting how measurement and evaluation are core to the demonstrations rather than an afterthought.
Governance and state level commitment are treated as requirements, not preferences. The state Governor must oversee implementation of the grant to ensure coordination across state agencies and other key entities that influence child health services. Applications must include a letter of support from the Governor, and also from the State Medicaid or CHIP Director if that director is not part of the applicant partnership. Additional letters of endorsement from major partners (for example, large pediatric provider groups) are encouraged. Each state may submit only one application, which pushes states to coordinate internally rather than submit competing proposals. Multi state collaborations are explicitly encouraged and receive favorable weight in scoring, but they must designate a single state as the lead implementer. For multi state proposals, each participating state must provide signed letters of support from both the Governor and the Medicaid Agency Director to document approval and commitment.
Key administrative details in the published announcement include the funding opportunity number (HHS 2010 CMS CHIPRA 0002), the CFDA number (93.767, Childrens Health Insurance Program), and an original and current closing date of January 8, 2010 (with the opportunity later archived on February 7, 2010). Programmatic and administrative questions were directed to the CHIPRA mailbox listed in the full announcement. Overall, the program is best understood as a national learning and evaluation effort carried out through state led demonstrations, with the goal of identifying scalable, evidence backed ways to measure and improve pediatric care quality across Medicaid and CHIP.
CHIPRA Quality Demonstration Grant Program (CMS) - FAQs
1) What is the CHIPRA Quality Demonstration Grant Program?
The CHIPRA Quality Demonstration Grant Program is a discretionary grant opportunity run by the Centers for Medicare and Medicaid Services (CMS). It is designed to build and test a national quality system for children's health care across both Medicaid and the Children's Health Insurance Program (CHIP).
2) What is the main purpose of this grant opportunity?
The central purpose is to help states and their partners experiment with and evaluate practical approaches to reliably measure, improve, and track the quality of pediatric care. The program also explores ways to lower costs through better care delivery and smarter use of information, rather than simply funding direct services.
3) What law funds this program?
Funding comes from the Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009, which set aside a total of $100 million for these demonstrations.
4) How much funding is available, and over what period?
CMS planned to distribute the $100 million over a five-year period of performance, with about $20 million available each federal fiscal year.
5) How many awards were anticipated?
The program anticipated making 10 total awards.
6) What is the expected award size?
Individual awards were expected to range from $500,000 (award floor) to $5,000,000 (award ceiling).
7) Is there a state match requirement?
No. A notable feature of this opportunity is that there is no state match requirement, which reduces the financial barrier to participation.
8) Can unspent funds be carried forward?
Yes. Any unspent funds are allowed to roll over into the next fiscal year, which provides flexibility for pacing multi-year work.
9) Who is eligible to apply?
Eligibility is limited to governmental applicants at the state level: the State Medicaid Agency, the State CHIP Agency, or a multi-state collaborative made up of state Medicaid and/or CHIP agencies.
10) Can a state submit more than one application?
No. Each state may submit only one application, which encourages internal coordination rather than competing proposals.
11) Are multi-state collaborations allowed or encouraged?
Yes. Multi-state collaborations are explicitly encouraged and receive favorable weight in scoring. However, they must designate a single state as the lead implementer.
12) What documentation is required for multi-state collaborations?
For multi-state proposals, each participating state must provide signed letters of support from both the Governor and the Medicaid Agency Director to document approval and commitment.
13) What kinds of projects or strategies are these demonstrations supposed to test?
The demonstrations are aimed at testing several related strategies for improving children's health care quality, including:
- Experimenting with and evaluating new and existing quality measures for children enrolled in Medicaid and CHIP (including collecting, validating, and using standardized metrics).
- Promoting health information technology (HIT) to strengthen care delivery (such as electronic data exchange, decision support, and tools to improve care coordination).
- Evaluating provider-based models intended to improve how pediatric services are delivered under Medicaid and CHIP (including structured quality improvement models, practice transformation, or other care redesign efforts).
- Demonstrating the impact of a model electronic health record (EHR) format for children, including whether pediatric-focused EHR capabilities can improve outcomes, raise quality, and reduce overall costs.
14) Is this grant intended to pay for direct services?
The opportunity is presented as a national learning and evaluation effort carried out through state-led demonstrations. Its central purpose is not simply to fund services, but to test and evaluate approaches for measurement and quality improvement across Medicaid and CHIP pediatric care.
15) Are partnerships required?
Yes. The structure is intentionally partnership-driven. The lead state agency must partner with external associations or organizations and may also involve other state agencies, child health providers, private foundations, and academic institutions.
16) Does CMS recommend any specific partner capabilities?
CMS recommended that at least one partner already have hands-on experience with data collection and assessment, reflecting that measurement and evaluation are core components of the demonstrations.
17) What is required regarding governance and state-level commitment?
Governance and state-level commitment are treated as requirements. The state Governor must oversee implementation of the grant to ensure coordination across state agencies and other key entities that influence child health services.
18) Are letters of support required with the application?
Yes. Applications must include a letter of support from the Governor. Applications must also include a letter of support from the State Medicaid or CHIP Director if that director is not part of the applicant partnership.
19) Are letters of endorsement from other partners required?
Additional letters of endorsement from major partners (for example, large pediatric provider groups) are encouraged.
20) What is the Funding Opportunity Number (FON)?
The Funding Opportunity Number is HHS-2010-CMS-CHIPRA-0002.
21) What is the CFDA number associated with this opportunity?
The CFDA number is 93.767, Children's Health Insurance Program.
22) What was the application closing date listed in the announcement?
The original and current closing date listed was January 8, 2010. The opportunity was later archived on February 7, 2010.
23) Where were programmatic and administrative questions directed?
Programmatic and administrative questions were directed to the CHIPRA mailbox listed in the full announcement.
24) How should this program be understood at a high level?
Overall, the program is best understood as a national learning and evaluation effort carried out through state-led demonstrations, with the goal of identifying scalable, evidence-backed ways to measure and improve pediatric care quality across Medicaid and CHIP.
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